[Interdisciplinarity for obese patient global management].

Obesity is a chronic illness involving serious somatic comorbidities and psychological disorders. Furthermore, obese patients often suffer from personal and / or socio-cultural problems. Taken together these elements amount to a complex illness requiring comprehensive patient care and hence an interdisciplinary approach aimed at integrating and coordinating the interventions of the different health professionals.

[Reciprocal interactions between bariatric surgery and psychopathology].

In this article, the results of a bibliographic research concerning the interactions between bariatric surgery and psychopathologies are presented. In the preoperative phase, although not scientifically demonstrated, uncontrolled psychopathologies as well as the abuse of illicit substances are often considered as exclusion criteria for the intervention. From the psychological point of view, neither the existence of a "typical" profile, nor the presence of predictive factors have been demonstrated.

Multi-factorial approach associated with a new 'on/off' Orlistat® use in a weight loss maintenance programme: 4 years follow-up.

Aim: To assess the efficacy of a specific long-term programme for weight loss maintenance using a new 'on/off' Orlistat approach in obese subjects who previously lost more than 10% of their body weight.

Methods: 50 patients were followed up during 4 years; 34 completed the study. Subjects were followed up by physicians trained in obesity management.

A 2-year multifactor approach of weight loss maintenance.

The overarching problem in the treatment of obesity is the consistency with which weight in treatment is regained. The aim of this study is to follow-up the patient using a multifactor approach (cognitive-behavioral therapies, diet and physical activity counselling, an "on-off" prescription of orlistat) during 4 years in order to assess the efficacy of this specific long-term weight loss maintenance programme. Weight maintenance is defined as a weight change of <2.

[Long term weight loss maintenance].

A successful weight loss program leads to a new metabolic and endocrine balance that needs new long term management. Recent researches have shown some predictors as well as some barriers of the long term weight management. Predictors and barriers are linked to the lost weight, to the subject's habits and to the patient's psychosocial sphere.